Skip over navigation

Archived LCDs

Access an archived Local Coverage Determination (LCD) or Policy Article (PA) from the table below. All LCDs are listed alphabetically.

  • To find a Retired LCD, select the desired LMRP/LCD ID.
    • This link will take a user to the LCD on the CMS Medicare Coverage Database (MCD) Archive Site. The last retired LCD version will appear (noted by revision effective date). If looking for an older version, scroll to the bottom of the LCD and select the version based on the effective dates listed. Select the version to open it.

Access the related PA from the "Associated Documents" section located at the bottom of the LCD. See "Related Local Coverage Documents – Article(s)" and select the Article(s) hyperlink to view the PA.

X
 
Title LCD ID
Ankle-Foot/Knee-Ankle-Foot Orthosis L11527 This link will take you to an external website.
Automatic External Defibrillators L13613 This link will take you to an external website.
Canes and Crutches L11496 This link will take you to an external website.
Cervical Traction Devices L15844 This link will take you to an external website.
Cold Therapy L5038 This link will take you to an external website.
Commodes L11497 This link will take you to an external website.
Enteral Nutrition L5041 This link will take you to an external website.
Epoetin L11463 This link will take you to an external website.
External Breast Prostheses L5043 This link will take you to an external website.
External Infusion Pumps L5044 This link will take you to an external website.
Eye Prostheses L11529 This link will take you to an external website.
Facial Prostheses L5046 This link will take you to an external website.
Glucose Monitors L11530 This link will take you to an external website.
Heating Pads and Heat Lamps L28480 This link will take you to an external website.
High Frequency Chest Wall Oscillation Devices L12870 This link will take you to an external website.
Home Dialysis Supplies and Equipment L11498 This link will take you to an external website.
Hospital Beds And Accessories L5049 This link will take you to an external website.
Immunosuppressive Drugs L11531 This link will take you to an external website.
Infrared Heating Pad Systems L12873 This link will take you to an external website.
Intrapulmonary Percussive Ventilation System L5051 This link will take you to an external website.
Intravenous Immune Globulin L27260 This link will take you to an external website.
Knee Orthoses L27263 This link will take you to an external website.
Lower Limb Prostheses L11464 This link will take you to an external website.
Manual Wheelchair Bases L11465 This link will take you to an external website.
Mechanical In-exsufflation Devices L12872 This link will take you to an external website.
Nebulizers L11499 This link will take you to an external website.
Negative Pressure Wound Therapy Pumps L11500 This link will take you to an external website.
Oral Anticancer Drugs L5057 This link will take you to an external website.
Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) L5058 This link will take you to an external website.
Oral Appliances for Obstructive Sleep Apnea L28603 This link will take you to an external website.
Orthopedic Footwear L11467 This link will take you to an external website.
Osteogenesis Stimulators L11501 This link will take you to an external website.
Ostomy Supplies L11502 This link will take you to an external website.
Oxygen and Oxygen Equipment L11468 This link will take you to an external website.
Parenteral Nutrition L5063 This link will take you to an external website.
Patient Lifts L5064 This link will take you to an external website.
Pneumatic Compression Devices L11503 This link will take you to an external website.
DRAFT - Pneumatic Compression Devices L34820 This link will take you to an external website.
Positive Airway Pressure (PAP) Devices for the Treatment of Obstructive Sleep Apnea L11528 This link will take you to an external website.
Power Mobility Devices L21271 This link will take you to an external website.
Pressure Reducing Support Surfaces - Group 1 L5067 This link will take you to an external website.
Pressure Reducing Support Surfaces - Group 2 L5068 This link will take you to an external website.
Pressure Reducing Support Surfaces - Group 3 L5069 This link will take you to an external website.
Refractive Lenses L11532 This link will take you to an external website.
Respiratory Assist Devices L11504 This link will take you to an external website.
Seat Lift Mechanisms L11533 This link will take you to an external website.
Speech Generating Devices L11534 This link will take you to an external website.
Spinal Orthoses: TLSO and LSO L11470 This link will take you to an external website.
Suction Pumps L11505 This link will take you to an external website.
Surgical Dressings L11471 This link will take you to an external website.
Therapeutic Shoes for Persons with Diabetes L11535 This link will take you to an external website.
Tracheostomy Care Supplies L11536 This link will take you to an external website.
Transcutaneous Electrical Joint Stimulation Devices (TEJSD) L28551 This link will take you to an external website.
Transcutaneous Electrical Nerve Stimulators (TENS) L11506 This link will take you to an external website.
Tumor Treatment Field Therapy (TTFT) L34730 This link will take you to an external website.
Urological Supplies L5080 This link will take you to an external website.
Vacuum Erection Devices (VED) L34732 This link will take you to an external website.
Walkers L11472 This link will take you to an external website.
Wheelchair Options/Accessories L11473 This link will take you to an external website.
Wheelchair Seating L15845 This link will take you to an external website.

Last Updated Dec 23, 2016